NCT00006064

Brief Summary

The purpose of this study is to see how beginning or changing anti-HIV medications affects the body composition (weight, height, growth, body fat, and muscle mass, or fat and muscle distribution) of HIV-infected children. This study also looks at how changes in body composition relate to changes in viral load (level of HIV in the blood), CD4 cell counts, height, and weight in HIV-infected children. This study also compares changes in body composition to levels of cytokines (proteins in the body that affect some immune cells) in HIV-infected children who are beginning or changing anti-HIV therapy. Though studies have been done on adults, little is known about the effects of HIV infection and anti-HIV drugs on body composition in children. One theory is that changes in body composition can predict the failure of anti-HIV treatment. If this is true, body composition measurements can be as useful as CD4+ cell counts in determining drug effectiveness.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Jun 2000

Longer than P75 for all trials

Geographic Reach
2 countries

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2000

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

June 16, 2000

Completed
1.2 years until next milestone

First Posted

Study publicly available on registry

August 31, 2001

Completed
3.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2005

Completed
Last Updated

October 29, 2014

Status Verified

October 1, 2014

First QC Date

June 16, 2000

Last Update Submit

October 28, 2014

Conditions

Keywords

Tumor Necrosis FactorCD4 Lymphocyte CountPolymerase Chain ReactionEnzyme-Linked Immunosorbent AssayRNA, MessengerInterleukin-1Body CompositionAnti-HIV AgentsViral LoadAge FactorsAnthropometry

Eligibility Criteria

Age1 Month - 12 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Children may be eligible for this study if they:
  • Are 1 month to 12 years old.
  • Are HIV-1 positive.
  • Have not begun puberty.
  • Are beginning or changing anti-HIV therapy and:
  • (1) have never used anti-HIV drugs and are starting any anti-HIV therapy; or (2) have never used protease inhibitors (PIs) and are starting a PI-containing therapy; or (3) have used PIs in the past and are changing anti-HIV treatment and have never used at least 2 of the drugs in the new therapy.
  • Have a parent or legal guardian able and willing to provide signed informed consent.

You may not qualify if:

  • Children will not be eligible for this study if they:
  • Have cancer.
  • Use metal artificial body parts or electrical devices that have been inserted into the body (such as a pacemaker).
  • Have had an arm or leg removed.
  • Have a physical disability that would prevent an accurate measurement of body height or length.
  • Have diabetes and need insulin.
  • Have or have had a serious illness or fever in the 14 days before entering study (except an upper respiratory infection without a fever).
  • Have used steroids (corticosteroids, anabolic steroids, or megestrol acetate), interleukin, interferon, thalidomide, or GH within 180 days before entering study. Glucocorticoids are allowed as long as treatment did not occur during the 14 days before entering study and total treatment in the 180 days before entering study was not more than 15 days.
  • Have used anti-HIV medication, if they are beginning any anti-HIV therapy.
  • Have used PIs, if they are beginning a PI-containing regimen. (Prior use of PIs is allowed if child is changing anti-HIV treatment and he/she has never used at least 2 of the drugs in the new therapy.)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Jacobi Med. Ctr. Bronx NICHD CRS

The Bronx, New York, 10461, United States

Location

Texas Children's Hosp. CRS

Houston, Texas, 77030, United States

Location

University of Puerto Rico Pediatric HIV/AIDS Research Program CRS

San Juan, PR, 00935, Puerto Rico

Location

Related Publications (4)

  • Chantry CJ, Hughes MD, Alvero C, Cervia JS, Hodge J, Borum P, Moye J Jr; PACTG 1010 Team. Insulin-like growth factor-1 and lean body mass in HIV-infected children. J Acquir Immune Defic Syndr. 2008 Aug 1;48(4):437-43. doi: 10.1097/QAI.0b013e31817bbe6d.

  • Chantry CJ, Hughes MD, Alvero C, Cervia JS, Meyer WA 3rd, Hodge J, Borum P, Moye J Jr; PACTG 1010 Team. Lipid and glucose alterations in HIV-infected children beginning or changing antiretroviral therapy. Pediatrics. 2008 Jul;122(1):e129-38. doi: 10.1542/peds.2007-2467. Epub 2008 Jun 2.

  • Chantry CJ, Cervia JS, Hughes MD, Alvero C, Hodge J, Borum P, Moye J Jr; PACTG 1010 Team. Predictors of growth and body composition in HIV-infected children beginning or changing antiretroviral therapy. HIV Med. 2010 Oct 1;11(9):573-83. doi: 10.1111/j.1468-1293.2010.00823.x. Epub 2010 Mar 21.

  • Cervia JS, Chantry CJ, Hughes MD, Alvero C, Meyer WA 3rd, Hodge J, Borum P, Moye J Jr, Spector SA; PACTG 1010 Team. Associations of proinflammatory cytokine levels with lipid profiles, growth, and body composition in HIV-infected children initiating or changing antiretroviral therapy. Pediatr Infect Dis J. 2010 Dec;29(12):1118-22. doi: 10.1097/INF.0b013e3181ed9f4c.

MeSH Terms

Conditions

HIV InfectionsHIV Wasting SyndromeLipodystrophy

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesWasting SyndromeMetabolic DiseasesNutritional and Metabolic DiseasesNutrition DisordersSkin Diseases, MetabolicSkin DiseasesSkin and Connective Tissue DiseasesLipid Metabolism Disorders

Study Officials

  • Caroline Chantry

    STUDY CHAIR
  • Joseph Cervia

    STUDY CHAIR

Study Design

Study Type
observational
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 16, 2000

First Posted

August 31, 2001

Study Start

June 1, 2000

Study Completion

February 1, 2005

Last Updated

October 29, 2014

Record last verified: 2014-10

Locations